Department of Health And Human Services Threatens Blogger Over Satirical Posts | Popehat

Your tax dollars in action. Threats against satirical bloggers.

The blog Addiction Myth is devoted to a very out-of-the-mainstream proposition about medicine: that the entire concept of drug and alcohol addiction is a scam perpetrated by law enforcement, rehab groups, and the entertainment industry. By contrast, the United States Department of Health and Human Services is devoted to mainstream medical and scientific propositions1 It is perhaps inevitable that these two worldviews would conflict one day.But it was not inevitable that HHS’s Office of General Counsel would bumptiously threaten Addiction Myth over obviously satirical posts. That, given minimal good sense, could have been avoided.

via Department of Health And Human Services Threatens Blogger Over Satirical Posts | Popehat.

Police: Woman drives wounded abductor to Fort Worth hospital | Breaking News | News from…

She’s nicer than I would have been…

FORT WORTH — A man being treated for a self-inflicted gunshot wound Monday morning was arrested and will be charged with aggravated assault with a deadly weapon, an official said.

Fort Worth police did not release the man’s name, but spokeswoman Sharron Neal said that he was brought to Texas Health Harris Methodist Hospital Fort Worth by a woman he was trying to abduct when he accidentally shot himself in the arm.

via Police: Woman drives wounded abductor to Fort Worth hospital | Breaking News | News from….

Healthcare Reform Update: Doc employment won’t lead to lower healthcare spending, research shows | Modern Healthcare

You don’t say.

Market share and prices tend to climb among hospitals that employ doctors but not for hospitals with looser contracts with independent physicians, according to newly published research. The findings, the authors say, suggest that integration itself does not produce the savings that many health system executives and policymakers promise from closer coordination between hospitals and doctors.

Hospital prices, according to the study, increased 2% to 3% each time physician-employing hospitals’ market share increased by one standard-deviation. The results were drawn from an analysis of roughly 2 million hospital bills submitted to private insurers between 2001 and 2007. Overall spending on services at the hospitals that employed physicians grew, while the utilization of services at those hospitals didn’t change.

via Healthcare Reform Update: Doc employment won’t lead to lower healthcare spending, research shows | Modern Healthcare.

All Trials | All Trials Registered. All Results Reported

Many thanks to Steve in the comments on the last post for alerting me to this movement:

It’s time all clinical trial results are reported.

Patients, researchers, pharmacists, doctors and regulators everywhere will benefit from publication of clinical trial results. Wherever you are in the world please sign the petition:

Thousands of clinical trials have not reported their results; some have not even been registered.

Information on what was done and what was found in these trials could be lost forever to doctors and researchers, leading to bad treatment decisions, missed opportunities for good medicine, and trials being repeated.

All trials past and present should be registered, and the full methods and the results reported.

We call on governments, regulators and research bodies to implement measures to achieve this.

via All Trials | All Trials Registered. All Results Reported.

I signed the petition, and hope others will as well.

Realistically, this will require either a mindboggling scandal (even worse than the ones we know about) leading to group self-regulation, or more likely, intrusive and poorly thought out legislation.

I know what I’d bet on.

What the Tamiflu saga tells us about drug trials and big pharma | Business | The Guardian

Hint: Roche stinks, and the Cochrane Collaboration has done all of us a huge favor. Time to stop prescribing Tamiflu.

What the Tamiflu saga tells us about drug trials and big pharmaWe now know the government’s Tamiflu stockpile wouldn’t have done us much good in the event of a flu epidemic. But the secrecy surrounding clinical trials means there’s a lot we don’t know about other medicines we take

via What the Tamiflu saga tells us about drug trials and big pharma | Business | The Guardian.

Craig Breedlove land speed project – Autoweek

Craig Breedlove land speed project – Autoweek.

 

Cool project. My brother, the AerospaceGenius, is interviewed.

 

They need one of these crowdsource funding thingos.

GruntDoc’s blog turns 12

12 years ago I was in Midland, Texas. At the urging of my still good friend Rick I started a blog that’s been continuous since then. Not terribly interesting or well maintained, but it has staying power.

It has survived a series of moves to Fort Worth, the new job (also going on 12 years), children graduating college, grad schools (one mine), two grandkids, about 10 cars (family wide), my getting older and maybe a touch wiser, some professional advancement, two marriages (kids)(My kids marrying others, weirdos), a tractor, about a zillion in home improvement, a about that many ER shifts.

It’s been a pleasure to share a tiny slice of it with you. The days of a lot of blog followers are over (not writing regularly will do that), but I appreciate most of the comments and everyone who reads this missive.

 

Thanks.

 

Navy Matters: A-10 Scrapping Justification Exposed

Please click through and read the whole thing. Something I hadn’t considered.

This is a Navy blog but I just can’t pass on the following Air Force item especially since it indirectly impacts Marine and Navy CAS.

DoD Buzz website quotes Air Force Gen. Mark Welsh as saying that scrapping the A-10 will save $4.2B over five years (1).  This apparently is the Air Force’s justification for letting the A-10 go.  Of course, the real justification is preserving the Air Force’s buy of F-35’s.  Be that as it may …

Let’s check that cost savings number out, shall we?

via Navy Matters: A-10 Scrapping Justification Exposed.

Great moments in advertizing

RHD Escalade

Behold, the right hand drive Cadillac Escalade!

Thanks to Jerry’s Cadillac in Weatherford for the chuckle.

Stolen laptops lead to important HIPAA settlements

In case you wondered why your IT department isn’t reasonable about security, it’s because the penalties aren’t reasonable.

Stolen laptops lead to important HIPAA settlements

Two entities have paid the U.S. Department of Health and Human Services Office for Civil Rights (OCR) $1,975,220 collectively to resolve potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules.  These major enforcement actions underscore the significant risk to the security of patient information posed by unencrypted laptop computers and other mobile devices.

via Stolen laptops lead to important HIPAA settlements.

1.7 Million dollar fine.

Bug can cause deadly failures when anesthesia device is connected to cell phones | Ars Technica

I can think of at least one reason phones are being plugged into USB’s…

Federal safety officials have issued an urgent warning about software defects in an anesthesia delivery system that can cause life-threatening failures at unexpected times, including when a cellphone or other device is plugged into one of its USB ports.The ARKON anesthesia delivery system is used in hospitals to deliver oxygen, anesthetic vapor, and nitrous oxide to patients during surgical procedures. It is manufactured by UK-based Spacelabs Healthcare Ltd., which issued a recall in March. A bug in Version 2.0 of the software running on the device is so serious that it could cause severe injury or death, the US Food and Drug Administration warned last week in what’s known as a Class I recall. In part, the FDA advisory read:

via Bug can cause deadly failures when anesthesia device is connected to cell phones | Ars Technica.

In my practice in the ER, there are two types of patients: those who travel with their phone chargers and plug them in, and those who don’t and whose phones are dying. The former will plug into any power port, the latter are the ones asking if anyone has a charger they can borrow.

So, your loved one is in the ICU on the vent, you’ve been calling and texting for what seems like forever, and you get to sit at the bedside. You’d never think twice about charging your phone off the nearest USB port; it’s never been a problem before, why would it be now?

Why that would shut down a ventilator is terrible planning on the part of the manufacturer, and it’ll get fixed. For you, though, don’t plug your pone into medical gear, as apparently some of it isn’t hardened against real life.

 

Top 5 Reasons Why ‘The Customer Is Always Right’ Is Wrong | Alexander Kjerulf

Top 5 Reasons Why ‘The Customer Is Always Right’ Is Wrong | Alexander Kjerulf.

Correct!

Terrific Southwest Airlines safety briefing video

Beats the others:

 

I think using humor to keep peoples’ attention beats all the pre-recorded announcements hands down.

Medicare Payments to Providers in 2012 – WSJ.com

Medicare Payments to Providers in 2012
Newly released Medicare billing data show total payments to more than 880,000 medical providers in 2012, totaling $77 billion.
Search the database by provider name, specialty and location to see the types and number of procedures performed and the amounts paid to each provider by Medicare. Related article.

via Medicare Payments to Providers in 2012 – WSJ.com.

Use your new powers for Good.

Texas citizenship test: Dirk and Conan

Funny bit.